I have had chronic neck pain and migraines for years. I started getting migraines in middle school and I remember having a headache almost daily when I was picked up from school. It seemed to be related to eye strain but never changed as I wore glasses, did not wear glasses, etc.
In high school I started a waitressing job and started noticing that my migraines were associated with neck pain. I start with neck discomfort and it eventually travels in to my head as a migraine. I can become totally incapacitated if I leave this condition unmedicated--sensitivity to light (not sound), sore eyes, trouble focusing my eyes, shaking hands/muscles, and intense nausea. I generally go from hot to cold temperatures quickly.
I use excedrin migraine when I start to feel neck pain, but I can't continue to do this, it's very unhealthy and I take excessive amounts at times. I also use Imitrex injection to stop the migraines, and that helps, but I use an injection about once a week. I don't want to rely on this medication, and the pain in my neck in between severe episodes is very hard to handle as well. I am a newlywed and worry about how I will be able to manage a pregnancy without being medicated!!
Things that cause trouble for me--anything that involves poor posture, even sitting on a couch that pulls on my muscles in a strange way. I've had migraines from sleeping with a hooded sweatshirt on and having the hood get bunched under my neck. Anything that pulls or causes neck discomfort and/or eye strain. Sometimes it's as simple as doing as lot of reading in school (I teach) with or without glasses, it doesn't matter. I basically live in fear of pulling on my neck and getting migraines.
What have I tried? Neurologists...many chiropractors (this helps, but I need to keep going back often), physical therapy (I might try this again, but it didn't help the first time) multiple supplements, muscle relaxers (didn't help) anti-inflammitories (didn't help). This has been about 10 years running now since high school.